Mathew, Leyamma

Mathew, Leyamma is an individual health care provider with primary practice located at 721 E Highway 30 , Gonzales LA 70737-4715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mathew, Leyamma can be contacted via phone (225) 644-7337.

Contact Information

Primary practice address
721 E Highway 30 Gonzales LA 70737-4715
Fax: (225) 644-5202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04797R Louisiana

Profile Details

NPI number 1134112675
LBN Legal business name Mathew, Leyamma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Sep 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134112675 NPPES
Louisiana MEDICAID 1310344

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